yaboCANBAOHUANZHEXUANDINGTEYAOHOU,SHIKEYIANYAOQIUBAOXIAODE,GUANYUTEYAOBAOXIAODAJIAYOUBIYAOLEJIE。
yaboWEN: SHENMESHI“YIBAOTEYAO”?
yaboDA: YILIAOBAOXIANTESHUYAOPINJIANCHENG“YIBAOTEYAO”,ZHUYAOZHIZHILIAOZHONGDA(HANJIAN)JIBINGLINCHUANGBIXU、LIAOXIAOQUEQIE、JIAGEANGGUI、QIEYOUGUOJIA、SHENG、SHIXIANGGUANBUMENTONGGUOTANPANJIZHINARUYILIAOBAOXIANJIJINZHIFUFANWEIDEYAOPIN。
问: 如何申请医保特药待遇?
DA: 1.ZIGEZHUNRU。CANBAOHUANZHECHITEYAOZHIDINGYIYUANZERENYISHIQIANZHANGQUERENBINGJINGYIYUANYIBAOBANSHENHEGAIZHANGDE《JIANGSUSHENGYILIAOBAOXIANTEYAOSHIYONGSHENQINGBIAO》(YIXIAJIANCHENG《SHENQINGBIAO》)JIYOUGUANCAILIAO,XIANGCANBAODIYIBAOJINGBANJIGOUTICHUSHENQING,FUHETIAOJIANDEFAFANG《JIANGSUSHENGYILIAOBAOXIANTEYAODAIYUZHENG》(YIXIAJIANCHENG《DAIYUZHENG》),XIANGSHOUYIGEYILIAONIANDU(ZHILIAOZHOUQI)DETEYAODAIYU。SHENQINGYIBAODAIYUXUTIGONGDECAILIAO: SHEHUIBAOZHANGKA、《SHENQINGBIAO》、XIANGGUANYILIAOWENSHU(JIYINJIANCE、BINGLIZHENDUAN、YINGXIANGBAOGAO、MENZHENBINGLI〈XUYOUTEYAOZHILIAOFANGANHEZHILIAOJILU,XIATONG〉、CHUYUANXIAOJIE〈HUOZHUYUANBINGLI,XIATONG〉DENG)HEZHAOPIANDENG。
2.TONGYITEYAOCUNZAIBUTONGGUIGEDE,CANBAORENYUANANZHAO《SHENQINGBIAO》JILUDEGUIGEXIANGSHOUXIANGGUANTEYAODAIYU,YINBINGQINGXUYAODIAOZHENGGUIGEDE,YINGPINGBINGLI、PINGGUBIAOZHICANBAODIJINGBANJIGOUBANLIBIANGENG。
3.TEYAODAIYUZIGEZIHEZHUNZHIRISHENGXIAO。YIGEYILIAONIANDU(ZHILIAOZHOUQI)ZHONGJIEHOU,RENGXUJIXUSHIYONGTEYAOZHILIAODE,XUANGUIDINGZHONGXINSHENQING。
yabo4.BUNENGSHUAKAJIESUANDENANTONGSHICANBAODEYIDIJIUYIRENYUAN,KEZAISHOUCIBAOXIAOTEYAOFEIYONGSHIBUBANTEYAODAIYUSHENQINGSHOUXU,TEYAODAIYUYILIAONIANDU(ZHILIAOZHOUQI)KAISHISHIJIANANKAISHISHIYONGSHIJIANHUORUYUANSHIJIANJISUAN。
yaboWEN: WOQUYIBAOTEYAOBAOXIAOBILISHIDUOSHAO?
DA: 1.YIBAOJIJINZHIFUDAIYU(YIBAOZHIFUQI): YIGEYILIAONIANDU(ZHILIAOZHOUQI)ZHONG,ZAIYIBAOZHIFUQINEICANBAOHUANZHEFASHENGFUHEYIBAOZHIFUGUIDINGDETEYAOFEIYONG,ANZHAOTEYAODESHENG(SHI)YIBAOJIESUANJIA(DIYUJIESUANJIAGEDEANSHIJI,XIATONG)HEGUIDINGYONGLIANG,YOUYIBAOJIJINANBILIBAOZHI。JUTIRUXIA:
CANBAOHUANZHEFASHENGFUHEGUIDINGDETEYAOFEIYONG,ZHIGONGYILIAOBAOXIANYOUZHIGONGJIBENYILIAOBAOXIANTONGCHOUJIJINBAOZHI75%,JUMINJIBENYILIAOBAOXIANYOUJUMINYIBAOJIJINBAOZHI70%,LIXIUYILIAOTONGCHOUYOULIXIUYILIAOTONGCHOUZIJINBAOZHI100%,ERDENGYIJIGEMINGSHANGCANJUNRENYOUERYICHOUJIZIJINBAOZHI100%。
yaboCANBAORENYUANTEYAOFEIYONGBUZAINARUEXINGZHONGLIUMENZHENJIANCHAZHILIAOHEMENZHENTEDINGFANGHUALIAOZHILIAO、DABINGBAOXIAN、ZHIGONGJIBENYILIAOZIFEIBUCHONGBAOXIAN、CHENGXIANGYILIAOJIUZHUDENGBAOZHANGFANWEI,YEBUNARUYIGEJIESUANNIANDUNEIFASHENGFUHEYILIAOBAOXIANGUIDINGDEYILIAOFEIYONGXIANE。
yabo2.WUCHANGGONGYAODAIYU(WUCHANGGONGYAOQI): CANBAOHUANZHEXIANGSHOU“MAIZENGGONGFU”HUO“QUANCHENGWUCHANGZENGYAO”DAIYUDE,ZAIZENGYAOQINEIYIBAOJIJINHEHUANZHEGERENJUNBUZAIZHIFUTEYAOFEIYONG。
ZHU: 2018NIAN9YUE1RI(BUHANDANGRI)QIAN,YISHENQINGBINGBEIANDEYUANWOQUTEYAODAIYUDECANBAOHUANZHE,RENGANYUANTEYAODAIYUJIXIANGGUANGUIDINGZHIXING,GENGHUANYAOPINDEANXINGUIDINGZHIXING;2017NIAN10YUE1RIHOUJINGSHENPISHIYONGBAXIANGZHILIAOYAOPINDECANBAORENYUAN,ZAISUOSHIYONGDEBAXIANGZHILIAOYAOPINNARUTEYAOGUANLIHOU,RENGXUJIXUSHIYONGDE,ANXINGUIDINGSHENQINGTEYAODAIYU。
WEN: CANBAOHUANZHERUHEXIANGSHOUZENGYAO?
DA: CANBAOHUANZHESHIYONGGUIDINGDE“MAIZENGGONGFU”MOSHIDEYAOPIN,ZAISHIYONGGUIDINGCISHUHOU,JIKEXIANGQIYEHEZUO(CISHAN)JIGOUSHENQINGYUANZHU,JINGHEZUO(CISHAN)JIGOUSHENHEPIZHUNHOU,XIANGSHOUXIANGYINGDEZENGYAODAIYU。
yaboWEN: CANBAOHUANZHERUHEBANLIFUCHAPINGGU?
DA: CANBAOHUANZHEXIANGSHOUTEYAODAIYUQIJIAN,XUDINGQIDAOZERENYISHICHUFUCHAPINGGU,FUCHAJIEGUOYI《JIANGSUSHENGYILIAOBAOXIANTEYAOSHIYONGPINGGUBIAO》XINGSHIJILU,YOUZERENYISHIQIANZIQUEREN。
JINGFUCHAPINGGU,WEIDADAOSUOSHENBAOBINGZHONGLINCHUANGYIXUEZHENDUANBIAOZHUNDEHUOJINGZHILIAOWUXIAODECANBAOHUANZHE,BUZAIXIANGYOUTEYAODAIYU。
yaboWEIANGUIDINGSHIXIANJINXINGFUCHA(CHAOGUOFUCHASHIXIANYIGEYUEYISHANG)DE,JIANGBEIZANTINGHUOQUXIAOTEYAODAIYU。
WEN: CANBAOHUANZHERUHEGOUYAO?
DA: 1.XUANZEZAINANTONGSHITEYAODINGDIANYAODIANGOUYAO: CANBAOHUANZHEYINGZAITEYAODINGDIANYAODIANZHONGXUANZEYIJIAZUOWEIBENRENGOUQUYAODETEDINGYAODIAN。GOUYAOSHI,BIXUPINGZERENYISHIKAIJUDEYIBAOCHUFANG,CHISHEHUIBAOZHANGKA、《DAIYUZHENG》、JINQI《PINGGUBIAO》(YISHISANLIAN)ZHITEDINGYAODIANGOUQUYAO。《PINGGUBIAO》YOUTEDINGYAODIANSHOUQUERLIAN,YILIANYOUTEDINGYAODIANLIUCUN、LINGYILIANYOUTEDINGYAODIANDINGQIBAOSONGYIBAOJINGBANJIGOU。
yaboCANBAOHUANZHEMEICIQUYAOLIANGBUDECHAOGUO1GEYUE(30TIAN)YONGLIANG,MEICIQUYAOSHIXUJIANGSHANGCIYIYONGWANDEYAOPINBAOZHUANGHEHUOYAOPINGJIAOZHITEYAOYAODIAN。CANBAOHUANZHEJIAOFEIBINGZAIJIESUANPIAOJUQINGDAN、《DAIYUZHENG》SHANGQIANZIQUERENHOU,FANGKEPEIYAO。CANBAOHUANZHEJUJUEQIANZIDE,BUYUPEIYAO。
CANBAOHUANZHEZAITEYAODINGDIANYAODIANSHUASHEBAOKAGOUMAITEYAOSHI,ZHIXUZHIFUYINGYOUGERENZIFUDEFEIYONG。
CANBAOHUANZHEZHUYUANQIJIANFUHETEYAOSHIYONGGUIDINGDEXUYAOSHIYONGTEYAODE,KECHITEYAOZERENYISHICHUFANGZAITEYAODINGDIANYAODIANXIANGERENYUFUXIANJINGOUYAO,CHUYUANHOUZAIHUITEYAODINGDIANYAODIANSHUASHEBAOKAJIESUAN。
2.XUANZEZAINANTONGSHITEYAODINGDIANYIYUANGOUYAO: DUIJINGNANTONGSHIYIBAOJINGBANJIGOUBEIANHOUDETEYAOPINZHONG,KEYOUTEYAODINGDIANYIYUANANGUIDINGJIESUANTEYAOFEIYONG。TEYAODINGDIANYIYUANYAOFANGTIGONGTEYAOPEIYAOFUWUSHI,CANZHAOTEYAODINGDIANYAODIANPEISHOUTEYAODEGUANLIGUIDINGHEYAOQIUJINXING。
YIGEYILIAONIANDU(ZHILIAOZHOUQI)NEI,CANBAOHUANZHEYOUTEYAODINGDIANYIYUANTIGONGHETEYAODINGDIANYAODIANPEISHOUDETEYAOSHULIANGLEIJIJISUAN,JUNYINGFUHETEYAOGUANLIYOUGUANGUIDING。
yabo3.ZHUANWAIJIUYIGOUYAO: CANBAOHUANZHEYINBINGQINGXUYAOZHUANWAIDIYIYUANZHILIAOQIJIANXUYAOSHIYONGTEYAODE,YINGDAOCANBAODIJINGBANJIGOUBANLITEYAODAIYUZHUNRUSHOUXU,ZAICANBAODIDETEYAODINGDIANYAODIANGOUQUTEYAO。RUOSHIYONGXUYAOTESHUBAOGUANTIAOJIANDETEYAO(RULENGLIANCHANPIN),JINGCANBAODIJINGBANJIGOUTONGYIHOU,KEZAIJIUYIDITE(ZHI)DINGYAODIANHUOZHILIAOYIYUANGOUMAITEYAO。
4.YIDIJIUYIGOUYAO:
(1)SHENGNEIZHANGJUYIDIJIUYI: PINGJIUYIDITEYAODINGDIANYIYUANZERENYISHICHUJUDE《SHENQINGBIAO》、XIANGGUANYILIAOWENSHU、CHUFANGDENGXIANGGUANZHUNRUCAILIAO,JINGCANBAODIYIBAOJINGBANJIGOUSHENHETONGYIHOU,KEANGUIDINGZAIJIUYIDITEYAODINGDIANYIYUANSHUAKAJIESUAN,JIUYIDIDINGDIANYIYUANBUNENGTIGONGTEYAODE,KEYIZAIJIUYIDITEYAODINGDIANYAODIANGOUMAITEYAO,ZAIYOUCANBAODIJINGBANJIGOUBANLIBAOXIAO,ZAITEYAODINGDIANYIYUANWEISHUAKAJIESUANDE,KEYIXIANZIFEI,ZAIYOUCANBAODIJINGBANJIGOUBANLIBAOXIAO。
(2)KUASHENGYIDIJIUYI: FUHEKUASHENGJIUYIGUIDINGDESHIYONGTEYAODENANTONGSHICANBAOHUANZHEZAISHENGWAIXUYAOSHIYONGTEYAODE,KEYIANZHAOJIUYIDIZHENGCESHUAKAJIESUAN,BUNENGSHUAKAJIESUANDEZHANGQIJUWAIHUANZHE,JINGDANGDIZHUANJIAPINGGUFUHETEYAODAIYUZHUNRUTIAOJIANBINGTIGONG《SHENQINGBIAO》、XIANGGUANYILIAOWENSHU、《PINGGUBIAO》DENGCAILIAO,CANBAODIYIBAOJINGBANJIGOUCANZHAONANTONGSHIGUANLIGUIDINGHEBIAOZHUNJINXINGSHENPIHEBAOXIAO。
yaboWEN: NAXIEQINGXINGGOUMAITEYAOYIBAOJIJINBUYUZHIFU?
yaboDA: 1.CANBAOHUANZHEWEIJINGCANBAODIJINGBANJIGOUSHENHEBEIAN,WEIQUDE《DAIYUZHENG》SUOFASHENGDETEYAOFEIYONG;
2.CANBAOHUANZHEZAIFEIBENRENZHIDINGYIYUANJIUZHEN,HUOFEIZERENYISHICHUFANGSUOFASHENGDETEYAOFEIYONG;
3.CANBAOHUANZHEJINGFUCHAPINGGUWEIDADAOXIANGYINGLINCHUANGYIXUEZHENDUANBIAOZHUNHUOWEIANGUIDINGSHIXIANJINXINGFUCHA(CHAOGUOFUCHASHIXIANYIGEYUEYISHANG)SUOFASHENGDETEYAOFEIYONG;
yabo4.CHAOCHUYIBAOZHIFUBIAOZHUNHEZHIFUFANWEIDEFEIYONG。
5.DUIPIAOJUYISHIZHENGMING、PIAOJUFUYINJIANJIBUNENGTIGONGBIBEICAILIAODENGDETEYAOFEIYONG。
yaboWEN: HAIMENJIUJINDETEYAODINGDIANYIYUANYOUNAXIE?
DA: MUQIAN,HAIMENQURENMINYIYUANWEIWOQUTESHUYAOPINDINGDIANYIYUAN,CANBAOHUANZHEPINGTEYAODAIYUZHENG、TEYAOZERENYISHIKAIJUDECHUFANG、SHEHUIBAOZHANGKAQIANWANGQURENMINYIYUANGOUQUXIANGYINGYAOPIN。